| Family Dental Care, Inc | |
|
1444 Dorchester Ave Dorchester MA 02122-2922 | |
| (617) 436-7030 | |
| (617) 265-7295 |
| Full Name | Family Dental Care, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1444 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Morris Cohen (PRESIDENT) |
| Authorized Official Contact | 6174366782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care, Inc 1444 Dorchester Ave Dorchester MA 02122-2922 Ph: (617) 436-7030 | Family Dental Care, Inc 1444 Dorchester Ave Dorchester MA 02122-2922 Ph: (617) 436-7030 |
| NPI Number | 1144254087 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144254087 | NPI | - | NPPES |
| 9780203 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12207 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 11878 (Massachusetts) | Primary |
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